Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.49 / $30.49 / $30.49	Facility		$30.49	$30.49	$30.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $30.49 / $30.49	Professional		$20.52	$30.49	$30.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.28 / $72.88 / $176.88	Facility		$9.28	$72.88	$176.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $38.42 / $51.87	Professional		$36.50	$38.42	$51.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.42 / $18.73 / $25.78	Facility		$2.42	$18.73	$25.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $23.05 / $30.74	Professional		$3.07	$23.05	$30.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $27.30	Facility		$27.30	$27.30	$27.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $31.30 / $55.78	Professional		$27.30	$31.30	$55.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $30.49 / $33.25	Facility		$3.32	$30.49	$33.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $30.49 / $38.42	Professional		$3.32	$30.49	$38.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $20.07 / $30.95	Professional		$14.44	$20.07	$30.95